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NPI Code Detail

MEDICARE: HANNAH RIGGS

MEDICARE: HANNAH RIGGS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1222Q00000XDevelopmental Therapist

General Provider Information

NPI Number : 1285048496
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH RIGGS
Provider Business Mailing Address
First Line : 3771 SAN JOSE PL STE 22
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32257-2439
Country : US
Telephone Number : 904-928-0112
Fax Number : 904-647-9489
Provider Business Practice Location Address
First Line : 3771 SAN JOSE PL STE 22
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32257-2439
Country : US
Telephone Number : 904-928-0112
Fax Number : 904-647-9489
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2014
Last Update Date : 06/17/2014

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Directions to “ HANNAH RIGGS ” Practice Location

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